Related Experiment Videos
[Aorto-coronary by-pass. Personal experience based on 342 cases operated on between April 1971 and December 1974
Insights
Aorto-coronary bypass surgery is effective for stable and unstable angina when conditions are right. This study details surgical criteria, techniques, and outcomes, showing a low operative mortality rate.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery Outcomes
- Surgical Intervention for Angina
Context:
- Review of aorto-coronary bypass operations performed between April 1971 and December 1974.
- Analysis of 342 operated cases, including isolated and associated procedures.
- Evaluation of outcomes for a subgroup of 66 urgent bypass operations.
Purpose:
- To report on the casuistry of aorto-coronary bypass operations.
- To discuss criteria indicating surgical necessity.
- To present operative techniques and obtained results.
Summary:
- Operative mortality was 3% for isolated bypass and 4% with associated operations within 30 days.
- Postoperative necrosis occurred in 3.5% of patients.
- Similar outcomes were observed in urgent bypass operations.
Impact:
- Aorto-coronary bypass surgery is considered a highly useful treatment for both stable and unstable angina.
- Treatment efficacy is contingent upon appropriate anatomo-functional conditions.
- Provides valuable historical data on early bypass surgery outcomes.
Abstract:
The authors report on the casuistry of aorto-coronary by-pass operations they performed between April 1971 and December 1974, discussing the criteria which indicate the necessity of operating, the principles of the operative techniques, and the results obtained. Out of a total of 342 operated cases, there was an operative mortality (within 30 days) of 3% in isolated by-pass cases, and 4% if one includes associated operations. In 3,5% of patients, postoperative necrosis was present. Almost the same values were found in the smaller group (66 cases) which underwent urgent by-pass operations. The authors consider that the aorto-coronary by-pass operation is a very useful treatment, both for stable and unstable angina, as long as the anatomo-functional conditions exist.